Inter-observer reproducibility of measurements of range of motion in patients with shoulder pain using a digital inclinometer

Winter, Andrea F. de; Heemskerk, Monique; Terwee, Caroline B.; Jans, M.P.; Devillé, W.; Schaardenburg, Dirk Jan Van; Scholten, R. J. P. M.; Bouter, Lex M.

doi:10.1186/1471-2474-5-18

Cited by 83 publications

(84 citation statements)

References 26 publications

(30 reference statements)

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“…Two physical therapists (PT A and PT B ) measured the range of motion of the affected and the nonaffected shoulder in 155 patients with shoulder complaints. Table 1 presents the results in terms of means and standard deviations, percentages of agreement within 5 and 10 , limits of agreement, and intraclass correlation coefficients (ICC) [3].…”

Section: An Examplementioning

confidence: 99%

“…Presentation in this way makes sense in clinical practice, because every PT knows what 5 and 10 means. This measure was chosen because it can easily be interpreted by PTs [3]. However, the SEM is usually the basic parameter of agreement for measurements on a continuous scale.…”

Section: Typical Parameters For Agreement and Reliabilitymentioning

confidence: 99%

“…In an interrater study on the range of motion of a painful shoulder, different reproducibility parameters were used to present the results [3]. To assess the limitations in passive glenohumeral abduction movement, the range of motion of the arm was measured with a digital inclinometer, and expressed in degrees.…”

Section: An Examplementioning

confidence: 99%

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When to use agreement versus reliability measures

Vet

Terwee

Knol

et al. 2006

Journal of Clinical Epidemiology

1,447

1,322

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Section: An Examplementioning

confidence: 99%

Section: Typical Parameters For Agreement and Reliabilitymentioning

confidence: 99%

See 1 more Smart Citation

When to use agreement versus reliability measures

Vet

Terwee

Knol

et al. 2006

Journal of Clinical Epidemiology

1,447

1,322

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“…[18] Digital inclinometry is recognised as a reliable and valid measure of joint range of motion. [19][20][21] However, this technology is expensive and not widely available to clinicians. As a result, measuring the fingertip-to-floor distance (FFD) for attainment of lateral spinal flexion of motion has been advocated as a suitable surrogate for digital inclinometry.…”

mentioning

confidence: 99%

Reliability and concurrent validity of an alternative method of lateral lumbar range of motion in athletes

Hecimovich

Hébert

2016

S. Afr. j. sports med

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Background: Cricket bowling involves combined spinal movements of side bending and rotation and, consequently, injury to the low back is a common problem. Therefore the assessment of lumbar spine kinematics has become a routine component in preseason screening. This includes static measurement of lateral spinal flexion as asymmetrical range of motion may predispose an athlete to low back injury. Objectives: This study examined intra-rater reliability and concurrent validity of the fingertip-to-floor distance test (FFD) when compared to a criterion range of motion measure. Methods: Thirty-four junior-level cricket players aged 13-16 years were recruited. Lumbar spine lateral flexion was measured simultaneously with the fingertip-to-floor distance test and digital inclinometry methods. Relative and absolute intra-rater reliability were investigated with intraclass correlation coefficients (ICC 3,1) of agreement, standard error of measurement (SEM) estimates, Bland and Altman bias estimates and 95% limits of agreement, respectively. The concurrent validity of the fingertip-to-floor distance test, compared to digital inclinometry measures, was examined with Pearson correlation coefficients. Results: Intra-rater reliability demonstrated substantial agreement for both measures (ICC 3,1 > 0.84). The fingertip-to-floor distance test SEM values ranged from 1.71-2.01 cm with an estimated minimum detectable change (MDC) threshold of 4.73-5.55 cm. The inclinometry SEM values ranged from 1.00-1.09° with minimal detectable change estimates of 2.77-3.01°. There were strong correlations between the index test and criterion measure outcomes (r > 0.84, p < 0.001). Conclusions: This study's results support the intra-rater reliability and concurrent validity of the finger-to-floor distance test, suggesting it to be a suitable surrogate measure for lumbar lateral flexion testing.

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“…1,2 Clinicians and researchers commonly perform a variety of measurements at the shoulder region that guide the clinical decision-making process. [2][3][4][5][6][7] One such measurement is range of motion (ROM), a fundamental component of the musculoskeletal examination.…”

mentioning

confidence: 99%